darwin.

Low-carb and ketogenic for athletes: what the science shows

Adapting the body to burn more fat looks like the perfect formula for endurance, but the evidence tells a more nuanced story. Understand what the Burke and Volek studies show about economy, power and for whom the strategy may make sense.

Low-carb plate with eggs, bacon and avocado, moody light
Photo: Unsplash
1.54 vs 0.67 g/min Peak fat oxidation (adapted versus high carb) Volek et al., 2016, Metabolism
~600 g Total glycogen reserve (muscle + liver) Exercise physiology, review
149 studies Scope reviewed in the ISSN position stand on ketogenic diets ISSN Position Stand, 2024

What "fat adaptation" means

Everyone burns a mixture of carbohydrate and fat during exercise. The more intense the activity, the larger the slice that comes from carbohydrate, because fat simply cannot be oxidized fast enough to sustain high efforts. The body stores about 500 grams of glycogen in muscle and 100 grams in the liver, a limited reserve. Fat, even in lean athletes, holds energy for many hours.

The idea behind low-carb (low carbohydrate) and ketogenic (very low carbohydrate, high fat, to the point of producing ketone bodies) diets is precisely this: restricting carbohydrate for weeks to force the organism to become better at using fat as fuel. The technical term is fat adaptation. The promise is seductive for long races, because whoever depends less on glycogen, in theory, does not "hit the wall" when it runs out.

The adaptation works, but has a price

The biggest test of this premise came from Jeff Volek's laboratory. In the FASTER study, elite ultramarathoners fat-adapted for months reached fat oxidation rates far higher than athletes on a carbohydrate-rich diet. The capacity to burn fat reached values never before recorded in humans.

In the FASTER study, fat-adapted ultra runners oxidized fat at 1.54 g/min at peak, versus 0.67 g/min in the high carbohydrate group, about 2.3 times more.Volek et al., 2016, Metabolism

In other words, the metabolic adaptation is real and measurable. The turning point is that oxidizing more fat does not automatically mean running faster. Here enters the work of Louise Burke, from the Australian Institute of Sport.

Elite endurance: where the evidence raises the alert

Burke put elite race walkers on three diets for three weeks: high carbohydrate, periodized carbohydrate and ketogenic. Everyone trained the same. The ketogenic group did in fact get better at burning fat, but paid dearly in economy, which is the oxygen cost of holding a given speed.

The ketogenic diet worsened exercise economy (increased oxygen demand at race pace) and canceled the performance gain the other groups obtained with intensified training. The study was replicated in 2020 with the same result.Burke et al., 2017, The Journal of Physiology; replicated in PLOS One, 2020

The evidence's reading is direct: using fat as fuel is less efficient from the oxygen standpoint. For the amateur athlete who just wants to finish the distance, that may not weigh. For those disputing seconds, the worsening in economy tends to outweigh any benefit of the larger fat reserve.

High intensity and power: the Achilles heel

Explosive efforts depend on glycolysis and readily available muscle glycogen. Sprints, repeated reps, weightlifting and the final kick of a race demand fast energy that fat does not deliver. The ketogenic diet, by emptying glycogen, messes precisely with this system.

The literature here is more mixed than in endurance. Some studies show a drop in high intensity work, while others found no harm in isolated sprint tests after weeks of adaptation. Even so, the field's official position is cautious when the sport requires repeating maximal efforts.

The ISSN, in its first position stand on ketogenic diets in sport (a review with a scope of 149 studies), concludes that the ketogenic diet can help with fat loss, but tends to accentuate lean mass loss and has a neutral or negative effect in high intensity modalities.ISSN Position Stand, 2024, Journal of the International Society of Sports Nutrition

Pros, cons and the way out of periodization

Putting it on the scale, the evidence points to a clear picture. In favor: greater capacity to oxidize fat, less dependence on refueling carbohydrate in very long races and possible help with fat loss. Against: worsening economy at competition paces, risk of losing lean mass, difficulty at high intensity and an adaptation phase that usually drops performance for weeks.

  • Elite endurance competing for time: the studies suggest available carbohydrate keeps winning.
  • Very long, low intensity ultra: this is where fat adaptation has the most defenders, though without consensus.
  • Strength, speed and intermittent sports: the evidence favors not restricting carbohydrate chronically.

Not by chance, many endurance athletes who explore low carbohydrate end up adopting periodization: they train part of the time with little carbohydrate to stimulate adaptation and reintroduce carbohydrate on hard days and in races. American ultramarathoner Zach Bitter, world record holder for the 100 miles on the track in 2019, is a public example of this flexible approach, varying carbohydrate according to training and competition instead of zeroing it year-round.

This text is educational in nature and is not a prescription. Carbohydrate restriction diets change metabolism, hydration and health in individual ways. Before adopting any dietary strategy, talk to a dietitian or sports physician.

What stays

Science does not decree a single winner between carbohydrate and fat: it shows two systems with different purposes. The ketogenic diet proves the body can oxidize fat at rates 2.3 times higher (1.54 g/min versus 0.67 g/min in the FASTER study), but this metabolic efficiency charges a price in oxygen that elite athletes cannot pay, as Louise Burke showed. That is why the most promising model is not choosing a side, but imitating Zach Bitter: using low carbohydrate as a training tool, not a permanent identity, saving carbohydrate for the days when the race actually begins.

Who proves it in practice

Zach Bitter Ultramarathoner, USA

World record holder for the 100 miles on the track in 2019 (11h19min13s, average pace of 6:48 min/mile), known for a periodized low-carb approach that reintroduces carbohydrate on hard days and in races.

Louise Burke Researcher, Australian Institute of Sport

She led the study with elite race walkers that showed worsening of economy and performance on the ketogenic diet, a result replicated in 2020.

Jeff Volek Researcher, Ohio State University

He conducted the FASTER study, which documented in fat-adapted runners the highest fat oxidation rates ever recorded in humans.

Answers about the topic

Frequently asked questions

Dietary philosophies

Does the ketogenic diet improve endurance performance?

Elite evidence says it does not improve and can worsen it. Adaptation greatly increases fat burning, but worsens exercise economy, that is, the body spends more oxygen to hold the same pace. In Burke's studies with elite race walkers, the ketogenic diet canceled the performance gain that intensified training brought to the carbohydrate groups.

So fat adaptation serves no purpose?

It serves, but it depends on context. For very long, low intensity races, having greater capacity to use fat reduces dependence on refueling carbohydrate and has its defenders. The problem appears when the sport demands intense efforts or disputes of seconds, where available carbohydrate keeps winning.

Why does the ketogenic diet hinder high intensity?

Explosive efforts like sprints, repeated reps and weightlifting depend on glycolysis and readily available muscle glycogen. Fat does not supply energy fast enough, and the ketogenic diet empties precisely the glycogen store that feeds this system.

What is carbohydrate periodization?

It is varying carbohydrate intake according to training: training part of the time with little carbohydrate to stimulate fat adaptation and reintroducing carbohydrate on hard days and in races. It is the approach athletes like Zach Bitter use, instead of zeroing carbohydrate year-round.

Does low-carb help body composition?

The ISSN 2024 position stand indicates that the ketogenic diet can produce greater loss of weight and fat, but also tends to accentuate lean mass loss, largely due to differences in calories, protein and fluids. Any dietary strategy must be accompanied by a dietitian or sports physician.

References

  1. Burke, L. M. et al. (2017). Low carbohydrate, high fat diet impairs exercise economy and negates the performance benefit from intensified training in elite race walkers. The Journal of Physiology, 595(9), 2785-2807.
  2. Burke, L. M. et al. (2020). Crisis of confidence averted: Impairment of exercise economy and performance in elite race walkers by ketogenic LCHF diet is reproducible. PLOS One, 15(6), e0234027.
  3. Volek, J. S. et al. (2016). Metabolic characteristics of keto-adapted ultra-endurance runners. Metabolism, 65(3), 100-110.
  4. Leaf, A. et al. (2024). International Society of Sports Nutrition position stand: ketogenic diets. Journal of the International Society of Sports Nutrition, 21(1), 2368167.
  5. Bitter Z. breaks the 100-mile world record in 11h19min (2019). Sports Illustrated.

Educational content. It does not replace a consultation with a dietitian or a physician. An individualized meal plan is an act reserved to licensed dietitians under Brazilian law (Lei 8.234/91). Sources are cited with a link for verification. Images under the Unsplash License (free use, including commercial).